THE RISK OF RETINAL BREAKS OR DETACHMENT IN FELLOW EYE WITH LATTICE DEGENERATION AFTER PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT.

IF 2.1 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2026-07-01 DOI:10.1097/IAE.0000000000004806

Leo Arnal, Yeabsira Mesfin, Anish Salvi, Karen M Wai, Ehsan Rahimy, Prithvi Mruthyunjaya, Chase A Ludwig

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引用次数: 0

Abstract

Purpose: Lattice poses risks to patients with prior detachments. This study evaluates such patients' likelihood of rhegmatogenous retinal detachments (RRD) and retinal breaks (RB) and assesses the efficacy of prophylactic laser retinopexy and cryopexy.

Methods: Retrospective cohort study using the TriNetX registry. Patients either with or without prior contralateral RRD/RB and also with fellow eye lattice were included. Logistic regression calculated the likelihood of RRD/RB in the fellow eye. The number needed to treat (NNT) was calculated for prophylactic laser retinopexy and cryopexy.

Results: Patients with prior unilateral RRD/RB had a higher likelihood of fellow eye RRD/RB than those without prior unilateral RRD/RB (OR: 4.47, 99% CI: 3.47-5.76). Myopia increased this likelihood (OR: 5.67, 99% CI: 3.80-8.48). The NNT to prevent one RRD was lower for patients with prior unilateral RRD (NNT: 4.63; 99% CI: 4.07-5.37) than those without (NNT: 43.29; 99% CI: 38.72-49.08). The NNT to prevent one RB was lower for patients with prior unilateral RB (NNT: 3.83; 99% CI: 3.37-4.44) than those without (NNT: 45.70; 99% CI: 39.99-53.30).

Conclusion: Prior contralateral RRD/RB increases the likelihood of RRD/RB in fellow eyes with lattice. Prophylactic laser retinopexy and cryopexy reduce the number of fellow eye RRD/RB.

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原发性孔源性视网膜脱离后伴晶格变性的同眼视网膜断裂或脱离的风险。

目的：格莱迪对既往脱离的患者构成风险。本研究评估这类患者发生孔源性视网膜脱离（RRD）和视网膜破裂（RB）的可能性，并评估预防性激光视网膜固定和冷冻固定的疗效。方法：采用TriNetX注册表进行回顾性队列研究。包括有或没有对侧RRD/RB和伴眼晶格的患者。Logistic回归计算同眼发生RRD/RB的可能性。计算预防性激光视网膜固定和冷冻固定所需治疗数（NNT）。结果：有单侧RRD/RB病史的患者比没有单侧RRD/RB病史的患者发生眼内RRD/RB的可能性更高（OR: 4.47, 99% CI: 3.47-5.76）。近视增加了这种可能性（OR: 5.67, 99% CI: 3.80-8.48）。有单侧RRD的患者预防单侧RRD的NNT （NNT: 5.63; 95% CI: 4.07-5.37）低于无单侧RRD的患者（NNT: 43.29; 95% CI: 38.72-49.08）。有单侧RB病史的患者预防一次RB的NNT （NNT: 3.83; 95% CI: 3.37-4.44）低于无单侧RB病史的患者（NNT: 45.70; 95% CI: 39.99-53.30）。结论：既往对侧RRD/RB增加同侧格子眼发生RRD/RB的可能性。预防性激光视网膜固定和冷冻固定可减少同眼RRD/RB的数量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.